Active NPI
Gregory Wells, M.D.
- Anesthesiology Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 036069236
- Practice address
- 3412 W Fullerton Ave
Chicago, IL 60647-2416 - Phone
- (773) 235-8000
- NPI assigned
- Jun 25, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 036069236 | IL | Primary |
Addresses
Primary practice location
3412 W Fullerton Ave
Chicago, IL 60647-2416
Mailing address
3412 W Fullerton Ave
Chicago, IL 60647-2416
Phone (773) 235-8000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131213001255 | FL | Practitioner - Anesthesiology | 4385799188 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Meharry Medical College School of Medicine, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Florida Clinical Practice Association Inc
Practice addresses (Care Compare)
1600 SW Archer
Gainesville, FL 32610-3003
1600 SW Archer Rd
Gainesville, FL 32610-3003
1600 SW Archer Rd RM
1191 Uf Health Surgical Specialists Shands
Gainesville, FL 32610-3003
Phone (352) 265-0535
2000 SW Archer Rd
Uf Health Congenital Heart Center Medical P
Gainesville, FL 32610-3003
Phone (352) 265-8250
2001 SW 13TH St
Gainesville, FL 32608-1532
Phone (352) 265-8990
Uf Health Test Site Pop Up 1600 SW Ar
Gainesville, FL 32610-3003
Phone (352) 392-1161
Merit-based Incentive Payment System (MIPS)
- Final score
- 47.54 of 100
- Quality
- 38.49
- Promoting interoperability
- 0
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles (6 of 8)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ocala Anesthesia Ams LLC | Anesthesiology | Current | Accepting new patients |
| Florida Clinical Practice Association Inc | Current | Accepting new patients | |
| Florida Clinical Practice Association Inc | Current | Accepting new patients | |
| DX Physical Therapy & Rehabilitation, LTD. | Past | Accepting new patients | |
| WX Medical Center Corp | Past | Accepting new patients | |
| DX Medical and Physical Therapy Clinic LTD | Past | Accepting new patients |
Locations
2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990
1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077
2207 SW 1st Ave
Ocala, FL 34471
Phone (352) 351-1200
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- gwells123255@direct.shands.ufl.edu
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Ocala, FL
- NPI 1609529478
-
- Clinical Medical Laboratory
- Gainesville, FL
- NPI 1326108903
-
- Durable Medical Equipment & Medical Supplies
- Deltona, FL
- NPI 1376133892
-
- Durable Medical Equipment & Medical Supplies
- Summerfield, FL
- NPI 1861976516
-
- Internal Medicine Physician
- Norridge, IL
- NPI 1164746558
-
- Chiropractor
- Norridge, IL
- NPI 1265692487
-
- Chiropractor
- Chicago, IL
- NPI 1144542531
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245888000000",
"number": "1376771576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3412 W FULLERTON AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606472416",
"telephone_number": "773-235-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3412 W FULLERTON AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606472416",
"telephone_number": "773-235-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLS",
"first_name": "GREGORY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-25",
"last_updated": "2009-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IL",
"license": "036069236",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.